2,463 research outputs found
Comparison and Mapping Facilitate Relation Discovery and Predication
Relational concepts play a central role in human perception and cognition, but little is known about how they are acquired. For example, how do we come to understand that physical force is a higher-order multiplicative relation between mass and acceleration, or that two circles are the same-shape in the same way that two squares are? A recent model of relational learning, DORA (Discovery of Relations by Analogy; Doumas, Hummel & Sandhofer, 2008), predicts that comparison and analogical mapping play a central role in the discovery and predication of novel higher-order relations. We report two experiments testing and confirming this prediction
Primary care management for optimized antithrombotic treatment [PICANT]: study protocol for a cluster-randomized controlled trial
Background: Antithrombotic treatment is a continuous therapy that is often performed in general practice and requires careful safety management. The aim of this study is to investigate whether a best practice model that applies major elements of case management, including patient education, can improve antithrombotic management in primary health care in terms of reducing major thromboembolic and bleeding events.
Methods: This 24-month cluster-randomized trial will be performed in 690 adult patients from 46 practices. The trial intervention will be a complex intervention involving general practitioners, health care assistants and patients with an indication for oral anticoagulation. To assess adherence to medication and symptoms in patients, as well as to detect complications early, health care assistants will be trained in case management and will use the Coagulation-Monitoring-List (Co-MoL) to regularly monitor patients. Patients will receive information (leaflets and a video), treatment monitoring via the Co-MoL and be motivated to perform self-management. Patients in the control group will continue to receive treatment-as-usual from their general practitioners. The primary endpoint is the combined endpoint of all thromboembolic events requiring hospitalization, and all major bleeding complications. Secondary endpoints are mortality, hospitalization, strokes, major bleeding and thromboembolic complications, severe treatment interactions, the number of adverse events, quality of anticoagulation, health-related quality of life and costs. Further secondary objectives will be investigated to explain the mechanism by which the intervention is effective: patients' assessment of chronic illness care, self-reported adherence to medication, general practitioners' and health care assistants' knowledge, patients' knowledge and satisfaction with shared decision making. Practice recruitment is expected to take place between July and December 2012. Recruitment of eligible patients will start in July 2012. Assessment will occur at three time points: baseline (T0), follow-up after 12 (T1) and after 24 months (T2).
Discussion: The efficacy and effectiveness of individual elements of the intervention, such as antithrombotic interventions, self-management concepts in orally anticoagulated patients and the methodological tool, case-management, have already been extensively demonstrated. This project foresees the combination of several proven instruments, as a result of which we expect to profit from a reduction in the major complications associated with antithrombotic treatment
Bulk properties of the van der Waals hard ferromagnet VI3
We present comprehensive measurements of the structural, magnetic, and electronic properties of layered van der Waals ferromagnet VI3 down to low temperatures. Despite belonging to a well-studied family of transition-metal trihalides, this material has received very little attention. We outline, from high-resolution powder x-ray diffraction measurements, a corrected room-temperature crystal structure to that previously proposed and uncover a structural transition at 79 K, also seen in the heat capacity. Magnetization measurements confirm VI3 to be a hard ferromagnet (9.1 kOe coercive field at 2 K) with a high degree of anisotropy, and the pressure dependence of the magnetic properties provide evidence for the two-dimensional nature of the magnetic order. Optical and electrical transport measurements show this material to be an insulator with an optical band gap of 0.67 eV - the previous theoretical predictions of d-band metallicity then lead us to believe VI3 to be a correlated Mott insulator. Our latest band-structure calculations support this picture and show good agreement with the experimental data. We suggest VI3 to host great potential in the thriving field of low-dimensional magnetism and functional materials, together with opportunities to study and make use of low-dimensional Mott physics
Pioglitazone Prevents Capillary Rarefaction in Streptozotocin-Diabetic Rats Independently of Glucose Control and Vascular Endothelial Growth Factor Expression
Background/Aims: Reduction of capillary network density occurs early in the development of metabolic syndrome and may be relevant for the precipitation of diabetes. Agonists of the peroxisome proliferator-activated receptor (PPAR)-gamma transcription factor are vasculoprotective, but their capacity for structural preservation of the microcirculation is unclear. Methods: Male Wistar rats were rendered diabetic by streptozotocin and treated with pioglitazone in chow for up to 12 weeks. Capillary density was determined in heart and skeletal muscle after platelet endothelial cell adhesion molecule-1 (PECAM-1) immunostaining. Hallmarks of apoptosis and angiogenesis were determined. Results: Capillary density deteriorated progressively in the presence of hyperglycemia (from 971/mm(2) to 475/mm(2) in quadriceps muscle during 13 weeks). Pioglitazone did not influence plasma glucose, left ventricular weight, or body weight but nearly doubled absolute and relative capillary densities compared to untreated controls (1.2 vs. 0.6 capillaries/myocyte in heart and 1.5 vs. 0.9 capillaries/myocyte in quadriceps muscle) after 13 weeks of diabetes. No antiapoptotic or angiogenic influence of pioglitazone was detected while a reduced expression of hypoxia-inducible factor-3 alpha and PPAR coactivator-1 alpha (PGC-1 alpha) mRNA as well as vascular endothelial growth factor (VEGF) protein possibly occurred as a consequence of improved vascularization. Conclusion: Pioglitazone preserves microvascular structure in diabetes independently of improvements in glycemic control and by a mechanism unrelated to VEGF-mediated angiogenesis. Copyright (C) 2012 S. Karger AG, Base
Extraperitoneal urine leak after renal transplantation: the role of radionuclide imaging and the value of accompanying SPECT/CT - a case report
<p>Abstract</p> <p>Background</p> <p>The differentiation of the nature of a fluid collection as a complication of kidney transplantation is important for management and treatment planning. Early and delayed radionuclide renography can play an important role in the evaluation of a urine leak. However, it is sometimes limited in the evaluation of the exact location and extent of a urine leak.</p> <p>Case Presentation</p> <p>A 71-year-old male who had sudden anuria, scrotal swelling and elevated creatinine level after cadaveric renal transplantation performed Tc-99 m MAG3 renography to evaluate the renal function, followed by an ultrasound which was unremarkable. An extensive urine leak was evident on the planar images. However, an exact location of the urine leak was unknown. Accompanying SPECT/CT images confirmed a urine leak extending from the lower aspect of the transplant kidney to the floor of the pelvic cavity, presacral region and the scrotum via right inguinal canal as well as to the right abdominal wall.</p> <p>Conclusions</p> <p>Renal scintigraphy is very useful to detect a urine leak after renal transplantation. However, planar imaging is sometimes limited in evaluating the anatomical location and extent of a urine leak accurately. In that case accompanying SPECT/CT images are very helpful and valuable to evaluate the anatomical relationships exactly.</p
Holographic GB gravity in arbitrary dimensions
We study the properties of the holographic CFT dual to Gauss-Bonnet gravity
in general dimensions. We establish the AdS/CFT dictionary and in
particular relate the couplings of the gravitational theory to the universal
couplings arising in correlators of the stress tensor of the dual CFT. This
allows us to examine constraints on the gravitational couplings by demanding
consistency of the CFT. In particular, one can demand positive energy fluxes in
scattering processes or the causal propagation of fluctuations. We also examine
the holographic hydrodynamics, commenting on the shear viscosity as well as the
relaxation time. The latter allows us to consider causality constraints arising
from the second-order truncated theory of hydrodynamics.Comment: 48 pages, 9 figures. v2: New discussion on free fields in subsection
3.3 and new appendix B on conformal tensor fields. Added comments on the
relation between the central charge appearing in the two-point function and
the "central charge" characterizing the entropy density in the discussion.
References adde
Hidden local symmetry and color confinement
The hidden local symmetry is a successful model to describe the properties of
the vector mesons in QCD. We point out that if we identify this hidden gauge
theory as the magnetic picture of QCD, a linearized version of the model
simultaneously describes color confinement and chiral symmetry breaking. We
demonstrate that such a structure can be seen in the Seiberg dual picture of a
softly broken supersymmetric QCD. The model possesses exact chiral symmetry and
reduces to QCD when mass parameters are taken to be large. Working in the
regime of the small mass parameters, we show that there is a vacuum where
chiral symmetry is spontaneously broken and simultaneously the magnetic gauge
group is Higgsed. If the vacuum we find persists in the limit of large mass
parameters, one can identify the rho meson as the massive magnetic gauge boson,
that is an essential ingredient for color confinement.Comment: 20 pages, 3 figure
Holographic studies of quasi-topological gravity
Quasi-topological gravity is a new gravitational theory including
curvature-cubed interactions and for which exact black hole solutions were
constructed. In a holographic framework, classical quasi-topological gravity
can be thought to be dual to the large limit of some non-supersymmetric
but conformal gauge theory. We establish various elements of the AdS/CFT
dictionary for this duality. This allows us to infer physical constraints on
the couplings in the gravitational theory. Further we use holography to
investigate hydrodynamic aspects of the dual gauge theory. In particular, we
find that the minimum value of the shear-viscosity-to-entropy-density ratio for
this model is .Comment: 45 pages, 6 figures. v2: References adde
Universality and exactness of Schrodinger geometries in string and M-theory
We propose an organizing principle for classifying and constructing
Schrodinger-invariant solutions within string theory and M-theory, based on the
idea that such solutions represent nonlinear completions of linearized vector
and graviton Kaluza-Klein excitations of AdS compactifications. A crucial
simplification, derived from the symmetry of AdS, is that the nonlinearities
appear only quadratically. Accordingly, every AdS vacuum admits infinite
families of Schrodinger deformations parameterized by the dynamical exponent z.
We exhibit the ease of finding these solutions by presenting three new
constructions: two from M5 branes, both wrapped and extended, and one from the
D1-D5 (and S-dual F1-NS5) system. From the boundary perspective, perturbing a
CFT by a null vector operator can lead to nonzero beta-functions for spin-2
operators; however, symmetry restricts them to be at most quadratic in
couplings. This point of view also allows us to easily prove nonrenormalization
theorems: for any Sch(z) solution of two-derivative supergravity constructed in
the above manner, z is uncorrected to all orders in higher derivative
corrections if the deforming KK mode lies in a short multiplet of an AdS
supergroup. Furthermore, we find infinite classes of 1/4 BPS solutions with
4-,5- and 7-dimensional Schrodinger symmetry that are exact.Comment: 31 pages, plus appendices; v2, minor corrections, added refs, slight
change in interpretation in section 2.3, new Schrodinger and Lifshitz
solutions included; v3, clarifications in sections 2 and 3 regarding
existence of solutions and multi-trace operator
The particle number in Galilean holography
Recently, gravity duals for certain Galilean-invariant conformal field
theories have been constructed. In this paper, we point out that the spectrum
of the particle number operator in the examples found so far is not a necessary
consequence of the existence of a gravity dual. We record some progress towards
more realistic spectra. In particular, we construct bulk systems with
asymptotic Schrodinger symmetry and only one extra dimension. In examples, we
find solutions which describe these Schrodinger-symmetric systems at finite
density. A lift to M-theory is used to resolve a curvature singularity. As a
happy byproduct of this analysis, we realize a state which could be called a
holographic Mott insulator.Comment: 29 pages, 1 rudimentary figure; v2: typo in eqn (3.4), added comments
and ref
- …